Individual provider Active NPI

Tess Monet Kilwein, PHD

  • Clinical Psychologist
  • Laramie, WY
National Provider Identifier
1205447661
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
710 Issued in WY
Practice address
1000 E University Ave
Laramie, WY 82071-2001
Phone
(701) 928-0064
NPI assigned
Aug 11, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 710 WY Primary

Addresses

Primary practice location

1000 E University Ave
Laramie, WY 82071-2001

Mailing address

417 E Fremont St Apt 4
Laramie, WY 82072-3188
Phone (701) 928-0064

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Tkilwein@uwyo.edu
Direct Messaging Address Tkilwein@uwyo.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
710WYMDClinical Psychologist

Interoperability endpoints

  • Direct secure messaging: tkilwein@uwyo.edu

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1205447661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 E FREMONT ST APT 4",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820723188",
            "telephone_number": "701-928-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E UNIVERSITY AVE",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820712001",
            "telephone_number": "701-928-0064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILWEIN",
        "first_name": "TESS",
        "middle_name": "MONET",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-11",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WY",
            "license": "710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Tkilwein@uwyo.edu",
            "affiliation": "N",
            "address_1": "1000 E University Ave",
            "city": "Laramie",
            "state": "WY",
            "country_code": "US",
            "postal_code": "820712001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Tkilwein@uwyo.edu",
            "affiliation": "N",
            "address_1": "1000 E University Ave",
            "city": "Laramie",
            "state": "WY",
            "country_code": "US",
            "postal_code": "820712001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Laramie, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.